HomeSchool Sports Academy Physical Education Class(es) Registration Form HomeSchool Sports Academy Physical Education Class(es) Registration Form Name of Parent(s) * Email * Phone Number 1 * Quick Contact In Case of Emergency (###) ### #### Phone Number 2 * Quick Contact In Case of Emergency (###) ### #### Address * for Invoice purposes ONLY Address 1 Address 2 City State/Province Zip/Postal Code Country Name, Age, Grade of Participant(s) * Medical concerns of any or all participant(s) * I am signing up my child for Multisport and or Baseball which runs outside at Evanston Park 51.17889° N, 114.11045° W Multisport, Mondays Sept 01 - Sept 29 - 10 - 11am Baseball, Fridays Sept 05 - Oct 03 - 10 - 11am Neither I am signing up my child for Flag Football and or Capture the Flag which runs outside, at Evanston Park 51.17889° N, 114.11045° W Flag Football, Mondays Oct 03 - Nov 02 - 10 - 11am Capture the Flag, Fridays Oct 10 - Nov 07 - 10 - 11am Neither I am signing up my child for Soccer and or Pickleball which runs inside, at Western Ball Hockey Soccer, Mondays Nov 10 - Dec 08 - 10 - 11am Pickleball, Fridays Nov 14 - Dec 12 - 10 - 11am Neither I am signing up my child for Street Hockey and or Handball which runs inside, at Western Ball Hockey Street Hockey, Mondays January 02 - Feb 02 - 10 - 11am Handball, Fridays Jan 09 - Feb 06 - 10 - 11am Neither I am signing up my child for Dodgeball and or Badminton which runs inside, at Western Ball Hockey Dodgeball, Mondays Feb 09 - Mar 09 - 10 - 11am Badminton, Fridays Feb 13 - Mar 13 - 10 - 11am Neither I am signing up my child for Ultimate Frisbee and or Track & Field which runs outside, at Evanston Park 51.17889° N, 114.11045° W Ultimate, Mondays Mar 16 - Apr 13 - 10 - 11am Track & Field, Fridays Mar 17 - Apr 16 - 10 - 11am Neither PAYMENT OPTIONS: I understand that the costs that I chose for the physical education program provided by The HomeSchool Sports Academy. I understand that I will pay the full amount prior to class start. Payment options are credit card through Squareup or e-transfer to craig@homeschoolsports.ca * After the agreeance, please choose how you would like to pay from the dropdown. I/We Agree Please send me an invoice via: * Squareup Interac E-Transfer Debit CANCELLATION POLICIES. I understand the HSA policies for cancellation. There is a $35 administration fee for late/last minute cancellation if I no longer want this service for my children minus the daily charge for classes used. * Yes Thank you for registering! We will contact you shortly for payment. HomeSchool Sports Physical Education Class Liability Waiver Form CONSENT OF PARENT/LEGAL GUARDIAN AND ACKNOWLEDGEMENT OF RISK Please read and fill out the form below: Name of Parent(s) Email * Name of Participant(s) I/we acknowledge that I/we have read this consent and acknowledgement of risk, and that I/we understand each of the provisions and that I/we agree to abide by them. I/we agree Thank you!
